| NPI | 1215618905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61574931) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60919062) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP61574931) | |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2024-12-31 |